Urgent Care Clinic Of Oxford | |
1487 Belk Blvd Oxford MS 38655-5371 | |
(662) 234-1090 | |
(662) 234-0432 |
Full Name | Urgent Care Clinic Of Oxford |
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Speciality | Family Medicine |
Location | 1487 Belk Blvd, Oxford, Mississippi |
Authorized Official Name and Position | Kelley Denise Mccullough (OFFICE MANAGER) |
Authorized Official Contact | 6622341090 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Urgent Care Clinic Of Oxford 1487 Belk Blvd Oxford MS 38655-5371 Ph: (662) 234-1090 | Urgent Care Clinic Of Oxford 1487 Belk Blvd Oxford MS 38655-5371 Ph: (662) 234-1090 |
NPI Number | 1043421357 |
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Provider Enumeration Date | 05/25/2007 |
Last Update Date | 03/23/2011 |
Medicare PECOS PAC ID | 9537109491 |
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Medicare Enrollment ID | O20110221000323 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043421357 | NPI | - | NPPES |
0015608 | Medicaid | MS | |
06759064 | Medicaid | MS | |
9014432 | Medicaid | MS |
Provider Name | Willis N Dabbs |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1063528750 PECOS PAC ID: 5092755959 Enrollment ID: I20050510000661 |
Provider Name | David Coon |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407962103 PECOS PAC ID: 7618962101 Enrollment ID: I20051109000572 |
Provider Name | Tiffany D Leister |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629302823 PECOS PAC ID: 1850436767 Enrollment ID: I20100303000618 |
Provider Name | Rachel J Sledge |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003114257 PECOS PAC ID: 8022287614 Enrollment ID: I20110817000101 |
Provider Name | Tyrongilia Q Walton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710242458 PECOS PAC ID: 5799920385 Enrollment ID: I20130403000064 |
Provider Name | Andrea Bynum |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306101050 PECOS PAC ID: 8325283757 Enrollment ID: I20130405000376 |
Provider Name | Sidney Larkin Ware |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1689994469 PECOS PAC ID: 2668617457 Enrollment ID: I20130601000032 |
Provider Name | Chastity Heath |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003205857 PECOS PAC ID: 6204153216 Enrollment ID: I20150804003508 |
Provider Name | John Lewis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245959915 PECOS PAC ID: 1557763539 Enrollment ID: I20231227000565 |
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